| NPI | 1750756128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.149316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 71336) |
| 207R00000X Internal Medicine (Licence: OH 35.149316) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-05-07 |